DAVITA DIALYSIS NPI 1730231382

NPI Information

NPI: 1730231382
Provider Name: DAVITA DIALYSIS
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
53 SCRANTON CONNECTOR
BRUNSWICK, GA
ZIP 31525
Phone: (912) 264-8657
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DAVITA DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Brunswick, GA. DAVITA DIALYSIS NPI is 1730231382. The provider is registered as an organization entity type.

The provider's business location address is:

53 SCRANTON CONNECTOR
BRUNSWICK, GA
ZIP 31525-862
Phone: (912) 264-8657
Fax: (912) 265-6542

The provider's authorized official is Pamela Mulvaney .
The authorized official title is Social Worker and has the following contact phone number (912) 264-8657.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	112514	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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